HomeMy WebLinkAboutRe-roof & Re-siding 04-0787
DATE
/!/~~
/S?O~ ~L 4~c/
(/
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: /J /?
/~e j/O~ r
TIME
&~-~7~7
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ .;
~/lq/
/ J _~
..., 7&/-eJ () Ad~ J A#t?WS
:z:;~ d~.rvt ~ r;C ~ ~
...... /?
,# I
jt~V T
~/'
C// (C
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK.; ~.YnE~NSPECTION BEFORE COVERING
Inspector: /V~ ~ Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICAtE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
White File
Pink City
Yellow Applicant
/ 5'70'/ ~Af!a4 ~
, I -
LEGAL DESCRIPTION (office use only)
LOT If BLOCK d ADDITION ~1ci
Q,~\\ ~ Yi>>l
t"'1L(I'v/~ l\W' 11110
BUILDER i J\
(Company Name) .f\.)5CY\ }- \rV
(Contact Name) C hO\ ~(. f\c) l>:-et\l1
d <? ~ d C> )...0. \1\ (;vd IJJt1\f SO( rI ~Yi (\1 r'1
TYPE OF WORK. D New Construction DDeck DPorch 'MRe-Roofing kJ;e-siding
DAddition o Alteration DUtility ConneltWu 0 Misc~ \
CODE: DI.R.C. DI.B.C.
Type of Construction:
Occupancy Group:
Division:
OWNER
(Name) ~~
(Address)
J Fi7c) 4
(Address)
A
B
I
E
V
M
4
(/~ /5/
(Phone)
(Phone)
(Phone)
., K?hd)
Date Rec' d
PERMIT NO. ()Lf-?f'l
ZONING (office use)
~/5D
PID c?3~1'I3-03oi)
~ J~ 7 0 J 9:; ) Itl
...S"(A Y'^iJ
DLower Level Finish
o Fireplace
A
R
5
B
S U
PROJECT COST IV ALUE $
(excluding land)
I hereby certifY that I h~ .In shed information on this applicatIOn whIch IS to the best of my knowledge true and correct. I also certtfY that I am the owner or authOrIzed agent for the
above-mentioned pn'1Jr ~ I i a all constructIOn WIll conform to all eXIsting state and local laws and WIll proceed m accordance with submitted plans I am aware that the bUlldmg
;"'" 'on "''''J:. ~ . , JU t tou", Furth"m"".' h",by 'gre' that the "ty ollk'.! 02, de;~"1'y ,ot" upoo th, pmpmy to 1''''0'01 "eod'd;i;';io.r I
Signature Contractor's Llcense No. Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
III IV
H I
2 3
II
F
1
~~OD
$ 7 if- 7 5
$ /,.~?
$
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
Building Otlicial
Date
Park Support Fee
SAC
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
1/ ~
- (0,,"- .
7- C)- 7- Lf
#
#
$
$
$
$
$
$
$
$
$
'}to , ~
#
#
J ~ ~.....J '1 1
Receipt No.W" /rr{ 0'-
;ff ,
ThiS IS to certifY that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constItutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372